Department of Psychology, University of Copenhagen, DK and Department of Psychiatry, Denmark.
Department of Psychology, University of Houston, USA.
Nord J Psychiatry. 2023 Aug;77(6):547-559. doi: 10.1080/08039488.2023.2186483. Epub 2023 Mar 10.
Research has shown that schizophrenia augments the risk for criminal behaviour and variables both defining- and related to schizophrenia, increase criminal offending. Premeditated criminal offending is considered a severe form of criminal offending, however, very little is known about what predicts future premeditated criminal offending in schizophrenia.
In this 6-year follow-up study we explored which factors underlie future premeditated criminal behaviour in a sample of patients diagnosed with schizophrenia ( = 116). We also investigated if a specific mentalizing profile underlie part of the variance of premeditated criminal offending.
Results showed that psychopathy underlie future premeditated crime in schizophrenia, and that a specific mentalizing profile, comprised of a dysfunctional emotional and intact cognitive mentalizing profile in relation to others, mediated parts of the relation between psychopathy and premeditated criminal offending. Finally, our results indicated that patients with schizophrenia with a specific mentalizing profile (see above) engaged in premeditated criminal behaviour earlier during the 6-year follow-up period compared to patients with other mentalizing profiles.
Our findings suggest that mentalization should carefully be inspected in patients with schizophrenia in relation to future premeditated offending.
研究表明精神分裂症会增加犯罪行为的风险，并且定义和相关的变量都会增加犯罪行为。预谋犯罪被认为是一种严重的犯罪形式，然而，对于精神分裂症患者未来预谋犯罪的预测因素知之甚少。
在这项为期 6 年的随访研究中，我们探讨了在一组被诊断为精神分裂症的患者样本中（ = 116），哪些因素导致了未来的预谋犯罪行为。我们还调查了特定的心理化特征是否构成预谋犯罪行为的部分变异基础。
结果表明，精神分裂症患者的预谋犯罪行为与精神变态有关，而特定的心理化特征，包括与他人有关的情感功能障碍和认知心理化特征完整，部分中介了精神变态与预谋犯罪行为之间的关系。最后，我们的结果表明，与具有其他心理化特征的患者相比，具有上述特定心理化特征的精神分裂症患者在 6 年的随访期间更早地实施了预谋犯罪行为。
我们的发现表明，在涉及未来预谋犯罪时，应该仔细检查精神分裂症患者的心理化特征。
